Individual
MARIAH BAESEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL MASSAGE THER
Contact information
Practice address
8410 BLUEVINE SKY DR, LAND O LAKES, FL 34637-7651
(305) 778-8135
Mailing address
8410 BLUEVINE SKY DR, LAND O LAKES, FL 34637-7651
(305) 778-8135
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
FL
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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